ABC Church of Christ · ABC Church of Christ 777 Sample Street ... Please contact us if you have...

84
ABC Church of Christ 777 Sample Street Sample Town Victoria 3777

Transcript of ABC Church of Christ · ABC Church of Christ 777 Sample Street ... Please contact us if you have...

Page 1: ABC Church of Christ · ABC Church of Christ 777 Sample Street ... Please contact us if you have any questions or need any help. The Properties Corporation of the Churches of Christ

ABC Church of Christ

777 Sample Street

Sample Town Victoria 3777

Page 2: ABC Church of Christ · ABC Church of Christ 777 Sample Street ... Please contact us if you have any questions or need any help. The Properties Corporation of the Churches of Christ

This Risk Management Redbook contains customised reports and records required to

manage Duty of Care tasks and Essential Safety Measures maintenance for the church.

Maintenance and inspections of these measures are required to meet building and safety

regulations, work, health and safety requirements, and best practice in ministry.

Property

Details of the Property

Annual Essential Safety Measures Report

To be completed by the owner or agent of the owner

Register of Essential Safety & Duty of Care measures

Details safety measures requiring scheduled maintenance or inspections

Contacts

Details of staff, volunteers and contractors involved in maintnenance or

inspections

Schedule of Maintenance & Inspections

Schedule of completion of inspection records

Inspection Records

To be completed by the staff, volunteer or contractor performing the task

Contents

Section 1

Please contact us if you have any questions or need any help.

The Properties Corporation of the Churches of Christ

Phone: 03 9488 8800 Fax: 03 9481 8543

Email: [email protected]

Level 1, 582 Heidelberg Road

Fairfield Victoria 3078

www.linksafe.com.au

Section 2

Section 3

Section 4

Section 5

Page 3: ABC Church of Christ · ABC Church of Christ 777 Sample Street ... Please contact us if you have any questions or need any help. The Properties Corporation of the Churches of Christ

Section 1

777 Sample Street

ABC Church of ChristBuilding:

Property & Owner Details

Trustee/Owner: Churches Of Christ Properties Corporation

1/582 Heidelberg Road

Class 9b - Place of AssemblyDescription:

Sample Town Victoria 3777

Fairfield Victoria 3078

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Section 1

The following Annual Essential Safety Measures Report is required to be completed

by the owner or agent of the owner.

The Properties Corporation is hereby authorising the church representative to sign

the Annual Essential Safety Measures Report as an authorized agent.

Upon completion of this edition of the Redbook and the Annual Essential Safety

Measures Report, kindly forward a scanned copy to

[email protected].

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777 Sample Street

ABC Church of ChristPremises:

Annual Essential Safety Measures Report(1)

Building Act 1993

VIC - Building Regulations 2006

Regulation 1209 & 1215Victoria

Sample Town Victoria 3777

PART A - Post July 1994 Building

This report is in relation to the above occupancy permit or maintenance determination and is required to be

prepared before each anniversary of the date of that occupancy permit or maintenance determination.

Maintenance personnel details

The following personnel carried out maintenance on the essential safety measures in this building during the

preceding 12 months.

Class 9b - Place of AssemblyClassification:

AESMR Jan - Dec 2017Re:

Essential Safety Measure Serviced By

Annual Essential Safety Measures Report Safety Officer

Exit Doors Property Coordinator

Fire Extinguishers - Portable Fire Equipment Services Pty Ltd PO Box 3070

Nunawading

Fire Hose Reels Fire Equipment Services Pty Ltd PO Box 3070

Nunawading

Fire Indicies for Materials Property Coordinator

LIGHTING – Emergency & Exit Lighting T.G Pell Electrical Pty Ltd 686 Canterbury Rd Vermont

Paths of Travel to Exits Property Coordinator

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NOTES1.The owner must ensure that this annual essential safety measures report and records of maintenance checks,

service and repair work are available on the premises for inspection by the municipal building surveyor or chief

officer after 24 hours notice. The penalty for non-compliance is a maximum of 10 penalty units.

2.Section 227E of the Building Act 1993 provides the power for the chief officer and municipal building surveyor to

inspect essential safety measures.

3.Under section 240 and 248(1) of the Building Act 1993 an agent of the owner must have written authority from the

owner to act as their agent. Also note the general rules of “Agency” also apply.

(i) each essential safety measure is operating at the required level of performance or to fulfill its purpose; and

(ii) where applicable each essential safety measure has been maintained in accordance with the occupancy

permit or maintenance determination and will fulfil its purpose; and

(iii) since the last annual essential safety measures report there have been no penetrations to required

fire-resisting construction, smoke curtains and the like in the building, other than those for which a building permit

has been issued; and

(iv) since the last annual essential safety measures report there have been no changes to materials or

assemblies that must comply with particular fire hazard properties, other than those for which a building permit

has been issued; and

(v) the information contained in this report is correct.

Signature Date ______________________Owner / Agent of Owner(3)* (* delete as applicable)

PART B - All buildings (pre and post July 1994 Buildings)

1) Details of any inspection report provided under section 227E (2) of the Building Act 1993; and

2) Compliance

I hereby state that I have*/the owner has* taken all reasonable steps to ensure that - (* Delete as applicable)

* Tick if this statement is applicable

The owner, in accordance with regulation 1205A, is complying with AS 1851 -2012 in relation to an essential safety

measure, instead of the frequency and type of maintenance required for the essential safety measure specified in

the relevant occupancy permit or maintenance determination

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Section 2

ABC Church of Christ

Essential Safety & DOC Measures

DUTY OF CARE

DOC: Asbestos

DOC: Asbestos 1 Throughout

DOC: Confined Spaces

DOC: Confined Spaces 1 Throughout

DOC: Emergency Management

DOC: Emergency Management 1 Throughout

DOC: Financial

DOC: Financial 1 Throughout

DOC: First Aid

DOC: First Aid 1 Throughout

DOC: Food Safety

DOC: Food Safety 1 Throughout

DOC: Grease Trap

DOC: Grease Trap 1 Throughout

DOC: Grounds Maintenance

DOC: Grounds Maintenance 1 Throughout

DOC: Hazardous Substances

DOC: Hazardous Substances 1 Throughout

DOC: Heating and Cooling

DOC: Heating and Cooling 1 Throughout

DOC: Housekeeping

DOC: Internal Housekeeping 1 Throughout

DOC: Insurance

DOC: Insurance 1 Throughout

DOC: Ladders

DOC: Ladders 1 Throughout

DOC: Ministry - Children & Families

DOC: Ministry - Children & Families 1 Throughout

DOC: Ministry - Pastoral/Prayer Ministry

DOC: Ministry - Pastoral Care / Prayer Ministry 1 Throughout

DOC: Ministry - Seniors

DOC: Ministry - Seniors 1 Throughout

DOC: Ministry - Youth

DOC: Ministry - Youth 1 Throughout

DOC: Playgrounds & Equipment

DOC: Playgrounds & Equipment 1 Throughout

DOC: Privacy

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DOC: Privacy 1 Throughout

DOC: Risk Management

DOC: Risk Management 1 Throughout

DOC: Screening and Selection

DOC: Screening and Selection 1 Throughout

DOC: Smoke Alarm (domestic)

Smoke Alarm (domestic) 1 Throughout

DOC: Staff Reviews

DOC: Staff Reviews 1 Throughout

DOC: Testing & Tagging

DOC: Testing & Tagging 1 Throughout

DOC: Vehicles

DOC: Vehicles 1 Throughout

Essential

Exit Doors

Exit Doors 1 Throughout

Fire Extinguishers - Portable

Fire Extinguishers - Portable 1 Throughout

Fire Hose Reels

Fire Hose Reels 1 Throughout

Fire Indicies for Materials

Fire Indicies for Materials 1 Throughout

Paths of Travel to Exits

Paths of Travel to Exits 1 Throughout

Essential Safety Measures

Annual Essential Safety Measures Report

Annual Essential Safety Measures Report 1 Throughout

LIGHTING – Emergency & Exit Lighting

LIGHTING – Emergency & Exit Lighting 1 Throughout

Routine

DOC: Backflow Prevention Device

DOC: Backflow Prevention Device 1 Throughout

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Section 3

ABC Church of Christ

Staff, Volunteer & Contractor Details

Children & Families Ministry Coordinator

Address:

Phone:

Contact

Mobile:

Email:

Churches of Christ

Address:

Phone:

Contact

Mobile:

Email:

Fire Equipment Services Pty Ltd

PO Box 3070

Nunawading

Victoria 3131

1300 855 163

Address:

Phone:

Contact

Mobile:

Email:

Pastoral/Prayer Ministry Coordinator

Address:

Phone:

Contact

Mobile:

Email:

Property Coordinator

Address:

Contact

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Phone:

Mobile:

Email:

Safety Officer

Address:

Phone:

Contact

Mobile:

Email:

Secretary

Address:

Phone:

Contact

Mobile:

Email:

Senior's Ministry Coordinator

Address:

Phone:

Contact

Mobile:

Email:

T.G Pell Electrical Pty Ltd

686 Canterbury Rd

Vermont

Victoria 3133

Trevor Pell

0418 352 239

Address:

Phone:

Contact

Mobile:

Email:

Test & Tag Team Pty Ltd

James Veryzer

Address:

Contact

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0414 846 386

Phone:

Mobile:

Email:

Treasurer

Address:

Phone:

Contact

Mobile:

Email:

Youth Ministry Coordinator

Address:

Phone:

Contact

Mobile:

Email:

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Section 4

Maintenance & Inspection Schedule

ABC Church of Christ

January 2018

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Ministry - Children & Families

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Ministry - Pastoral/Prayer Ministry

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Ministry - Seniors

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Ministry - Youth

February 2018

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Housekeeping

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Vehicles

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Emergency Management

March 2018

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Grease Trap

6 Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Grounds Maintenance

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

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Quarterly

Initial:................................. Date: ....../....../........... Completed

Exit Doors

Quarterly

Initial:................................. Date: ....../....../........... Completed

Paths of Travel to Exits

Half Yearly

Initial:................................. Date: ....../....../........... Completed

LIGHTING – Emergency & Exit Lighting

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Insurance

April 2018

3 Yearly

Initial:................................. Date: ....../....../........... Completed

Fire Extinguishers - Portable

Yearly

Initial:................................. Date: ....../....../........... Completed

Fire Hose Reels

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: First Aid

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Privacy

May 2018

Asbestos

Initial:................................. Date: ....../....../........... Completed

DOC: Asbestos

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Housekeeping

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Half Yearly

Initial:................................. Date: ....../....../........... Completed

DOC: Smoke Alarm (domestic)

June 2018

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Grease Trap

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Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Hazardous Substances

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Quarterly

Initial:................................. Date: ....../....../........... Completed

Exit Doors

Quarterly

Initial:................................. Date: ....../....../........... Completed

Paths of Travel to Exits

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Financial

July 2018

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Food Safety

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Risk Management

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Screening and Selection

August 2018

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Heating and Cooling

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Housekeeping

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Testing & Tagging

September 2018

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Backflow Prevention Device

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Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Grease Trap

6 Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Grounds Maintenance

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Ladders

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Quarterly

Initial:................................. Date: ....../....../........... Completed

Exit Doors

Quarterly

Initial:................................. Date: ....../....../........... Completed

Paths of Travel to Exits

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Confined Spaces

Annual

Initial:................................. Date: ....../....../........... Completed

LIGHTING – Emergency & Exit Lighting

October 2018

Half Yearly

Initial:................................. Date: ....../....../........... Completed

Fire Extinguishers - Portable

Half Yearly

Initial:................................. Date: ....../....../........... Completed

Fire Hose Reels

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Annual

Initial:................................. Date: ....../....../........... Completed

DOC: Staff Reviews

November 2018

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Housekeeping

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

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Half Yearly

Initial:................................. Date: ....../....../........... Completed

DOC: Smoke Alarm (domestic)

Yearly

Initial:................................. Date: ....../....../........... Completed

Fire Indicies for Materials

December 2018

Quarterly

Initial:................................. Date: ....../....../........... Completed

DOC: Grease Trap

Monthly

Initial:................................. Date: ....../....../........... Completed

DOC: Playgrounds & Equipment

Quarterly

Initial:................................. Date: ....../....../........... Completed

Exit Doors

Quarterly

Initial:................................. Date: ....../....../........... Completed

Paths of Travel to Exits

Annual

Initial:................................. Date: ....../....../........... Completed

Annual Essential Safety Measures Report

Page 14 of 82

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Section 5

Inspection Record January 2018

Children & Families Ministry

CoordinatorDOC: Ministry - Children &

Families

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

This Inspection Record is designed to assist in creating a culture of safety in churches running ministries

for children aged 0-12yo, as well as meeting duty of care, OHS and Victorian Child Safe Standards

obligations. You may use this as a single check of all groups collectively , or complete a separate copy of

the Inspection Record for each program.

STANDARD 1: Governance and Leadership

[ ] Does the church promote itself as a child safe organisation?

[ ] Do leaders demonstrate a commitment to child safety by their actions and behaviour?

[ ] Are leaders interested in and engaged with the children?

[ ] Are parents and children made to feel welcome?

[ ] Does the church raise awareness about child abuse and prevention?

[ ] Does your church take a zero tolerance approach to discrimination and abuse?

[ ] Does your ministry respect & promote cultural identity as fundamental to a child's wellbeing?

STANDARD 2: Clear commitment to child safety

[ ] Has your church adopted the Child Safety Policy as required by CCVT?

[ ] Have all leaders and participant families been given a copy of the Child Safety Policy?

[ ] Is the Child Safety Policy readily available/advertised?

[ ] Are children, parents or carers invited to participate in the development and review of the policy?

STANDARD 3: Code of Conduct that establishes clear expectations for appropriate behaviour

[ ] Have all leaders signed a Code of Conduct that describes what behaviours are/are not ok?

[ ] Is the Code of Conduct well known and accessible by leaders and parents/carers?

[ ] Is it clear how to raise a concern about breaches of the Code of Conduct or make a complaint?

STANDARD 4: Screening, supervision, training and other human resource practices

[ ] Have all leaders been appointed by a formal recruitment process which included having relevant skills,

background checks and induction?

[ ] Have all leaders and volunteers completed a Safe Ministry Check (Screening Questionnaire)?

[ ] Do all leaders have a Working With Children Check (or equivalent) & Police Check prior to starting?

[ ] Are all leaders using the correct type of card, i.e. Volunteer or Employee?

[ ] Have all leaders advised WWCC that they work with children at your specific church?

[ ] Have all WWCC cards and VIT registrations been confirmed as valid with WWCC or VIT?

[ ] Are all leaders appropriately supervised and supported in their roles?

[ ] Has the Ministry Coordinator attended a Safe Church Awareness Workshop? (required)

[ ] Have leaders been trained in appropriate pastoral care boundaries and procedures?

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[ ] Have leaders had training in identifying indicators of abuse and how to respond?

[ ] Do leaders know how to access reporting forms and who to give them to when they have concerns?

[ ] Have all leaders and volunteers been asked if they are still willing and able to participate?

STANDARD 5: Processes for responding to and reporting suspected child abuse

[ ] Are there processes for reporting and acting on disclosures or concerns about child safety?

[ ] Is there a clear and accessible complaints procedure for use by children, parents and leaders?

[ ] Are these policies readily available and provided to parents upon request?

STANDARD 6: Strategies to identify and reduce or remove risks of child abuse

[ ] Does the organisation have a Risk Management Plan?

[ ] Can parents participate in the planning process?

[ ] Is the cultural safety of Aboriginal children considered within this plan ?

[ ] Is the cultural safety of children from CALD backgrounds considered within this plan?

[ ] Is the safety of children with a disability considered within this plan?

[ ] Are appropriate leader/child ratios followed including no one-to-one situations with a child?

[ ] Are activities, equipment and play spaces appropriate for the age and abilities of the children?

[ ] Are risk assessment done prior to running activities including offsite activities ?

[ ] Is there an emergency evacuation procedure that all leaders & children are aware of?

[ ] Do leaders and parent/guardians follow the sign in/sign out procedure correctly?

STANDARD 7: Strategies to promote the participation and empowerment of children

[ ] Are children meaningfully consulted about decisions that affect them?

[ ] Are children listened to?

[ ] Are children informed of their rights and how to raise concerns in an age appropriate way?

[ ] Do staff readily interact with children in an age appropriate and respectful way ?

For more information and resources on Child Safe Standards: www.childsafestandards.org.au

GENERAL HEALTH & SAFETY:

[ ] Have all programs been approved by church leadership so that it has insurance cover?

[ ] Is all equipment that is to be used during the activity safe and in good working order?

[ ] Do leaders have access to a telephone at all times in case of an emergency?

[ ] Do leaders have access to a properly supplied & maintained First Aid Kit?

[ ] Is at least one leader present at all activities properly trained in First Aid ?

[ ] Are there appropriate safeguards in place for electrical appliances, heaters & power outlets?

[ ] Are there appropriate toilet facilities available and toileting procedures followed?

[ ] Are there safeguards in place to ensure the hot water in bathrooms does not scald/burn children?

[ ] Does any outside play area have a fence (min height 1.2m) with a childproof self closing gate?

[ ] Are there appropriate surfaces for play i.e. impact absorbing under play equipment, paved areas?

[ ] Does the program follow a sun policy? (www.sunsmart.com.au)

[ ] Is shade provided in outside play areas?

[ ] If your church as a 'No Jab No Play' policy, has this been communicated to parents?

[ ] Does your group comply with the church Privacy Policy in the collection of personal information?

[ ] Is your Playgroup registered with Playgroup Victoria? (do not insure through PV)

[ ] Are Playgroup contact details are up to date on the PV website at www.playgroup.org.au

For more information, samples, guides and resources go to www.churchesofchrist.org.au/safeplaces

Service Check OKProblem/ActionItem

Throughout 1

DOC: Ministry - Children & Families

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record January 2018

Pastoral/Prayer Ministry

CoordinatorDOC: Ministry - Pastoral/Prayer

Ministry

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Has an Approval for Ministry form been completed for this year?

[ ] Has this ministry been approved by church leadership so that it has insurance cover?

[ ] Are there appropriate physical locations for pastoral care or prayer ministry to take place?

[ ] Is the ministry always undertaken at these designated locations?

[ ] Have all leaders and volunteers been trained in how to provide healthy pastoral care/prayer ministry?

[ ] Have all leaders and volunteers been trained in identifying indicators of abuse and how to respond?

[ ] Are records stored in an appropriate manner and in line with the church privacy policy?

[ ] Does the church have a policy regarding the recruitment of leaders and volunteers for this ministry?

[ ] Have all leaders and volunteers completed a Safe Ministry Check (Screening Questionnaire)?

[ ] Have all leaders and volunteers signed a Code of Conduct?

[ ] Do all leaders and volunteers have a Working With Children Check (where required) & Police Check?

[ ] Do leaders and volunteers know how to access a 'Risk of Significant Harm' or 'Safe Church Concerns

Anecdotal Record' form and who to give them to?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Ministry - Pastoral Care / Prayer Ministry

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record January 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record January 2018

Senior's Ministry Coordinator

DOC: Ministry - Seniors

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

HEALTH & SAFETY

[ ] Does your ministry have access to a telephone in case of an emergency?

[ ] Does the ministry have access to a properly supplied and maintained First Aid Kit ?

[ ] Is at least one leader present at all activities who is properly trained in First Aid ?

[ ] Is all equipment that is to be used during the activity safe and in good working order?

[ ] Is the area to be used suitable to the activities planned?

[ ] Are risk assessment forms used for any unusual activity?

[ ] Is there an appropriate ratio of leaders to participants for the activities planned?

[ ] Are the leaders aware of the procedure to be followed in case of accidents or emergencies?

LEADERS

[ ] Have all leaders attended a Safe Church Awareness Workshop in the last 3 years?

[ ] Have all leaders and volunteers completed a Safe Ministry Check (Screening Questionnaire)?

[ ] Do all leaders have a current Police Check?

[ ] Does your program comply with the church privacy policy?

[ ] Have leaders had training in identifying indicators of elder abuse and how to respond?

[ ] Have leaders been trained in appropriate pastoral care boundaries and procedures?

[ ] Do leaders know how to report any safety concerns?

For more information on Elder Abuse prevention and reporting go to :

VIC: Seniors Rights Victoria 1300 368 821 or visit www.seniorsrights.org.au

TAS: Tasmanian Elder Abuse Helpline 1800 441 169 or visit www.advocacytasmania.org.au

NSW: Elder Abuse Hotline 1800 628 221 or visit www.elderabusehelpline.com.au

Service Check OKProblem/ActionItem

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DOC: Ministry - Seniors

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record January 2018

Youth Ministry Coordinator

DOC: Ministry - Youth

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

This Inspection Record is designed to assist in creating a culture of safety in churches running ministries

for high school aged children (12-17 years old). It is designed to assist you in creating a culture of safety

within your ministry and meeting your duty of care, OHS and the new Child Safe Standards obligations.

You may use this as a single check of all groups collectively , or complete a separate copy of the

Inspection Record for each group.

STANDARD 1: Governance and Leadership

[ ] Does the church promote itself as a child safe organisation?

[ ] Do leaders demonstrate a commitment to child safety by their actions and behaviour?

[ ] Are leaders interested in and engaged with the children?

[ ] Are parents and children made to feel welcome?

[ ] Does the church raise awareness about child abuse and prevention?

[ ] Does your church take a zero tolerance approach to discrimination and abuse?

[ ] Does your ministry respect & promote cultural identity as fundamental to a child's wellbeing?

STANDARD 2: Clear commitment to child safety

[ ] Has your church adopted the Child Safety Policy as required by CCVT?

[ ] Have all leaders and participant families been given a copy of the Child Safety Policy?

[ ] Is the Child Safety Policy readily available/advertised?

[ ] Are children, parents or carers invited to participate in the development and review of the policy?

STANDARD 3: Code of Conduct that establishes clear expectations for appropriate behaviour

[ ] Have all leaders signed a Code of Conduct that describes what behaviours are/are not ok?

[ ] Is the Code of Conduct well known and accessible by leaders and parents/carers?

[ ] Is it clear how to raise a concern about breaches of the Code of Conduct or make a complaint?

STANDARD 4: Screening, supervision, training and other human resource practices

[ ] Have all leaders been appointed by a formal recruitment process which included having relevant skills,

background checks and induction?

[ ] Have all leaders and volunteers completed a Safe Ministry Check (Screening Questionnaire)?

[ ] Do all leaders have a Working With Children Check (or equivalent) & Police Check prior to starting?

[ ] Are all leaders using the correct type of card, i.e. Volunteer or Employee?

[ ] Have all leaders advised WWCC that they work with children at your specific church?

[ ] Have all WWCC cards and VIT registrations been confirmed as valid with WWCC or VIT?

[ ] Are all leaders appropriately supervised and supported in their roles?

[ ] Has the Ministry Coordinator attended a Safe Church Awareness Workshop? (required)

[ ] Have leaders been trained in appropriate pastoral care boundaries and procedures?

[ ] Have leaders had training in identifying indicators of abuse and how to respond?

[ ] Do leaders know how to access reporting forms and who to give them to when they have concerns?

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[ ] Have all leaders and volunteers been asked if they are still willing and able to participate?

STANDARD 5: Processes for responding to and reporting suspected child abuse

[ ] Are there processes for reporting and acting on disclosures or concerns about child safety?

[ ] Is there a clear and accessible complaints procedure for use by children, parents and leaders?

[ ] Are these policies readily available and provided to parents upon request?

STANDARD 6: Strategies to identify and reduce or remove risks of child abuse

[ ] Does the organisation have a Risk Management Plan?

[ ] Can parents participate in the planning process?

[ ] Is the cultural safety of Aboriginal children considered within this plan ?

[ ] Is the cultural safety of children from CALD backgrounds considered within this plan?

[ ] Is the safety of children with a disability considered within this plan?

[ ] Are appropriate leader/child ratios followed including no one-to-one situations with a child?

[ ] Are activities, equipment and play spaces appropriate for the age and abilities of the children?

[ ] Are risk assessment done prior to running activities including offsite activities ?

[ ] Is there an emergency evacuation procedure that all leaders & children are aware of?

[ ] Do leaders and parent/guardians follow the sign in/sign out procedure correctly?

STANDARD 7: Strategies to promote the participation and empowerment of children

[ ] Are children meaningfully consulted about decisions that affect them?

[ ] Are children listened to?

[ ] Are children informed of their rights and how to raise concerns in an age appropriate way?

[ ] Do staff readily interact with children in an age appropriate and respectful way ?

For more information and resources on Child Safe Standards: www.childsafestandards.org.au

GENERAL HEALTH & SAFETY:

[ ] Has this program been approved by church leadership so that it has insurance cover?

[ ] Is all equipment that is to be used during the activity safe and in good working order?

[ ] Do leaders have access to a telephone at all times in case of an emergency?

[ ] Do leaders have access to a properly supplied & maintained First Aid Kit?

[ ] Is at least one leader present at all activities properly trained in First Aid ?

[ ] Is there an emergency evacuation procedure that all leaders & youth are aware of?

[ ] Have permission and indemnity forms been completed for all participants?

[ ] Does the group use a sign in/sign out register that includes contact details for parent/guardian?

[ ] Does the program follow a sun policy? (www.sunsmart.com.au)

[ ] Does your group comply with the church Privacy Policy in the collection of personal information?

For more information, samples, guides and resources go to www.churchesofchrist.org.au/safeplaces

Service Check OKProblem/ActionItem

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DOC: Ministry - Youth

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record February 2018

Property Coordinator

DOC: Housekeeping

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

FLOORS, AISLES, STAIRS AND LANDINGS

[ ] Are all floors, aisles, stairs & landings clean and free of slip, trip & fall hazards?

[ ] Are stairs free of worn or broken treads, and non-skid strips in good condition?

[ ] Are all handrails in good, sturdy condition?

STORAGE

[ ] Are all items being stored clear of traffic areas?

[ ] Where items are stacked for storage, are the stacks stable with a good solid base?

[ ] Are shelves and racks in good condition and not overloaded?

[ ] Is storage designed to minimise lifting problems, i.e. between knee and shoulder height?

[ ] Are storage areas clear of rubbish and unwanted material?

ELECTRICAL

[ ] Are all electrical plugs, sockets and switches in good working order?

[ ] Are all appliances free of frayed or otherwise defective leads?

[ ] Are powerboards, extension cords & double adapters in good condition and being used correctly i.e.

not being overloaded, piggybacking or used as a permanent fitting?

[ ] Are rooms adequately lit for their purpose?

KITCHENS

[ ] Do you have a written process or procedure for maintaining good hygiene in the kitchen?

[ ] Have bins and lids been cleaned and disinfected in the last 3 months?

[ ] Are microwaves, ovens and stovetops clean and free of food spills?

[ ] Are rangehoods, ducts and filters clean and operating properly?

[ ] Are benches and other surfaces clean and in good condition?

[ ] If provided, are sponges, teatowels and handtowels clean?

[ ] Are all detergents and other chemicals clearly labelled and stored out of reach of children?

[ ] Is the fridge/freezer clean, running at correct temperature and empty of old/out of date food?

[ ] Is the walk-in fridge/freezer door and bell operating properly?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Internal Housekeeping

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record February 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record February 2018

Property Coordinator

DOC: Vehicles

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Is the vehicle currently registered and insured? (If unsure, contact Churches of Christ Insurance on 03

9488 8800 or http://www.cofcinsurance.org.au)

[ ] If the vehicle has 10 or more seats, are you registered with TSV?

[ ] Does the vehicle only carry the licensed amount of passengers?

[ ] Does the vehicle have seatbelts for all passengers where required by law?

[ ] Do lights and indicators work (including brake lights, head lights, indicators)?

[ ] Is there water in the radiator?

[ ] Is there brake fluid in the reservoir?

[ ] Is there enough oil?

[ ] Is the vehicle regularly serviced by a qualified person?

[ ] Do the tyres have correct pressure?

[ ] Are all those who drive this vehicle currently licensed to drive this type of vehicle?

[ ] Have all drivers filled out a driver information form and completed an annual police check?

NOTE: IF YOU HAVE ANSWERED 'NO' TO ANY OF THE ABOVE, DO NOT DRIVE THE VEHICLE.

NOTE: The Bus Safety Act 2009 (Vic) came into full effect on 31/12/2010. It aims to provide for the safe

operation of bus services.

If your church operates a bus with 10 or more seats (incl. driver) you are now required to register with

Transport Safety Victoria.

For more info: www.transportsafety.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Vehicles

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record February 2018

Safety Officer

DOC: Emergency Management

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Every organisation must comply with State based legislation that includes requirements for emergency

prevention and planning.

Failure to comply may result in legal ramifications incorporating severe penalties.

This Inspection Record is based, in part, on the AS 3745-2010: 'Planning for Emergencies in Facilities'.

Whilst not legally binding, AS 3745-2010 is produced by Standards Australia and is widely accepted as the

benchmark when it comes to implementing emergency procedures and training within an organisation.

Please check the list below to see if your church meets the standards:

[ ] Does the church have an Emergency Management Plan which includes a Health & Safety Policy,

Safety Rules, Emergency Contact Details, Emergency Procedures and Evacuation Diagrams?

[ ] Are safety rules on display within the church?

[ ] Do you have a designated and sign-posted Assembly Area for people to go to in an emergency? (Signs

are available from hardware stores)

[ ] Is there a designated group of people who are trained in how to evacuate the buildings in an

emergency? (This group are often called a Safety Team, Fire Wardens or an ECO (emergency control

organisation) and are often made up of leaders, regular ushers/welcomers or other designated able

bodied people who are regularly and reliable attending church services and major church events)

[ ] Does this group receive skills training at least every 6 months? (This could include going over the

emergency procedures, how to use a fire extinguisher etc)

[ ] Are your Fire Wardens easily identifiable in an emergency by the use of a consistently coloured hat ,

helmet or vest?

[ ] Has your church performed an evacuation exercise in the last 12 months? (This could be done after a

service or during a members meeting. Make sure the kids and older attendees are included.)

[ ] Are Evacuation Diagrams displayed in locations where occupants & visitors are able to view them?

[ ] Is each Diagram positioned at a height not less than 1200mm and not more than 1600mm above the

floor?

[ ] Does each individual Evacuation Diagram have the correct orientation with regard to the direction of

egress and its location to the 'YOU ARE HERE' point?

If your current evacuation diagram is older than 5 years, it is likely that you need to update it to meet the

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new standard.

For more information, new evacuation diagrams, service quotes or training go to www.rlink.com.au or call

0457 168 204.

Service Check OKProblem/ActionItem

Throughout 1

DOC: Emergency Management

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Churches of Christ

DOC: Grease Trap

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Clean grease traps

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grease Trap

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Property Coordinator

DOC: Grounds Maintenance

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

6 MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your property, simply write Not Applicable (N/A) next to it.

[ ] Are fences and gates in good condition?

[ ] Are trees safe, especially branches?

[ ] Do shrubs need to be trimmed back or maintained?

[ ] Is lawn area even and free from hazards?

[ ] Are paths, car parks and paved areas in good condition and free from tripping hazards?

[ ] Are car parks and outdoor areas free of grease and oil patches?

[ ] Are car parks and outdoor areas kept clean and free of rubbish?

[ ] Are steps safe, especially treads and handrails, in both wet and dry weather?

[ ] Is all outdoor equipment used by the church in good repair?

[ ] Are signs securely in place without overhanging dangerous edges?

[ ] Have grease traps been cleaned and inspected?

[ ] Are paths and car parks adequately lit after dark?

[ ] Are shade sails securely fastened?

[ ] Is personal protection equipment always used by those undertaking grounds maintenance i.e. eye

wear, ear protection, gloves, aprons, face masks etc?

[ ] Do gutters require cleaning or maintenance? If yes, engage a suitably qualified and fully insured

tradesperson who has the correct equipment for working at heights.

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grounds Maintenance

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Property Coordinator

Exit Doors

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1.The exit door is intact.

2.The exit door is readily openable without a key, from the side facing a person seeking their way out.

3. The door is operational. Opening action should be by a single handed downward or pushing action

on a single device located between 900mm and 1200mm from the floor.

4.The door hardware is operational and functions properly.

Service Check OKProblem/ActionItem

Throughout 1

Exit Doors

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Property Coordinator

Paths of Travel to Exits

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1. Ensure no obstruction of any nature has encroached on or into the designated paths of travel.

2. Check that the integrity of the fire isolation relating to the paths of travel have not been breached

or compromised.

3. Check that no unauthorised alteration has been carried out on the travel sections.

Service Check OKProblem/ActionItem

Throughout 1

Paths of Travel to Exits

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

T.G Pell Electrical Pty Ltd

LIGHTING – Emergency & Exit

Lighting

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

Half YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

BCA Table I1.4

ESSENTIAL SAFETY MEASURES – LIGHTING

Emergency lighting

BCA provisions for determining standard of performance - E4.2, E4.4

Half yearly procedure to AS 2293.2 1995

Service Check OKProblem/ActionItem

Throughout 1

LIGHTING – Emergency & Exit Lighting

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record March 2018

Treasurer

DOC: Insurance

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

PROPERTY:

[ ] Has the church had valuations detailing the replacement value of buildings within the last 5 years?

[ ] Does the latest insurance renewal reflect that valuation?

[ ] Does the church regularly review the value of contents insured to take account of new equipment?

[ ] Are there any musical instruments belonging to individuals stored at the church that are not included in

the church insurance renewal?

[ ] Does the church have a procedure whereby equipment such as microphones and portable speakers

are securely stowed away as soon after the completion of a service or other activity as possible?

[ ] Is there an Equipment Inventory List and it is up to date?

[ ] Has the condition of existing equipment been checked?

RISK MANAGEMENT:

[ ] Does the church have a Risk Management plan and is it updated on a regular basis?

[ ] Are inspections carried out prior to major activities within the church to ensure the property and

equipment is in safe working order?

[ ] Does the church have a plan of action in the event of an emergency, injury or disaster?

[ ] Does the church have a definitive list of ministries and activities run in the name of the church?

[ ] Does the church check insurance details for all contractors and hall hirers?

OCCUPATIONAL HEALTH AND SAFETY:

[ ] Does the church have an occupational health and safety policy and safety rules in place?

[ ] Are leaders provided with training in the church's occupational health and safety policy?

[ ] Is there a person qualified in first aid in attendance at all church events?

[ ] Is there a defined procedure to report a hazard or an incident?

[ ] Does the church have a register to record work performed by external contractors?

[ ] Are 'working bees' supervised to ensure people do not perform work they are not qualified to do?

[ ] Is all work carried out at heights carried out by properly qualified personnel?

[ ] Does the church have WorkCover insurance? Organise this directly with a WorkCover Agent as this is

not available through Churches of Christ. Go to www.worksafe.vic.gov.au/insurance

For more information contact Churches of Christ Insurance: www.cofcinsurance.org.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Insurance

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record April 2018

Fire Equipment Services Pty Ltd

Fire Extinguishers - Portable

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

3 YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Perform the 3 Yearly maintenance procedure to the AS1851.1 standard.

Service Check OKProblem/ActionItem

Throughout 1

Fire Extinguishers - Portable

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record April 2018

Fire Equipment Services Pty Ltd

Fire Hose Reels

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Perform the Yearly maintenance procedure to the AS1851.2 standard.

Service Check OKProblem/ActionItem

Throughout 1

Fire Hose Reels

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record April 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record April 2018

Safety Officer

DOC: First Aid

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

First Aid is the emergency care of injured or sick persons. It aims to preserve life, promote recovery, and

prevent the injury or illness becoming worse.

FIRST AID TRAINING:

Every church must ensure that there are an adequate number of people trained to administer first aid at all

church services, events and activities. At minimum there should be 1 first aid officer for every 50 people in

attendance.

FIRST AID KITS:

All staff and volunteers at churches must be able to access a first aid kit . This will require at least one

clearly signed and recognisable first aid kit to be provided at every church/ offsite program.

Your kit should be appropriate for the size and type of activities being run .

Kits should be restocked immediately after use and regularly maintained (check contents at least once

every 12 months).

Please note that analgesics or other medication is not permitted to be part of a first aid kit.

CHECKLIST:

[ ] Are all First Aid kits clearly identified using correct signage?

[ ] Are the First Aid kits properly stocked & maintained?

[ ] Is there an adequate number of people trained in first aid at all church services and activities?

[ ] Are the names of qualified First Aiders & phone numbers for emergency services clearly displayed?

[ ] Are all staff and leaders aware of the locations of First Aid kits?

[ ] Is a report completed and given to the Safety officer every time First Aid is provided ?

For more information regarding buying kits, restocking contents and getting First Aid Training contact

www.stjohn.org.au or Ph: 1300 360 455.

Service Check OKProblem/ActionItem

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DOC: First Aid

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record April 2018

Secretary

DOC: Privacy

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Does the church have an up to date Privacy Policy about the management of personal information?

[ ] Is the church Privacy Policy freely available i.e. on the church website and from the church office?

[ ] Are all leaders trained so that they know what the Privacy Policy is?

[ ] Is a Privacy Collection Notice used on all forms and the church website?

[ ] Is it explained to people why you are collecting information about them and how you plan to use it?

[ ] Are people aware they may access, update or remove the information the church has about them?

[ ] Is personal information (including hard copies, soft copies and online) stored securely?

[ ] Is personal information destroyed when no longer needed for the purpose for which it was collected?

[ ] Is information only used for the purpose for which it was gathered and not passed on to other people or

organisations without permission?

[ ] Is the website and church newsletter content being monitored for privacy issues?

[ ] Does the church provide a simple means by which people can easily request not to receive direct

marketing communications from the church?

[ ] Before disclosing personal information about individuals to an overseas person or organisation

(including online church management software) has the church taken reasonable steps to ensure that the

overseas recipient does not breach the Australian Privacy Principles in relation to the information ?

[ ] Are photos only taken of children (under 18) whose parents have given written consent?

[ ] Are all leaders informed about who does not have permission for photographs being taken?

For more information on the Privacy Act and the Australian Privacy Principles go to www .oaic.gov.au

For assistance with a church privacy policy go to www.churchesofchrist.org.au/safeplaces

Service Check OKProblem/ActionItem

Throughout 1

DOC: Privacy

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record May 2018

Property Coordinator

DOC: Smoke Alarm (domestic)

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

Half YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Replace battery

[ ] Test operation

[ ] Replace entire unit if faulty

Churches may wish to do monthly testing of each detector as per the Melbourne Fire Brigades

recommendation for smoke detectors in homes.

The MFB's campaign at the end of daylight saving each year reminds people to 'Change your clock,

change your smoke alarm battery'.

The MFB also recommends the following testing & cleaning schedule:

Monthly: Test by pressing the test button with a broom handle or similar

Yearly: Vacuum around your smoke alarm vents

Yearly: Replace your 9 volt battery each year at the end of daylight saving

For further information please contact the MFB Community Education Department on (03) 9665 4464 or

[email protected] or go to www.mfb.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

Smoke Alarm (domestic)

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record May 2018

Property Coordinator

DOC: Asbestos

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AsbestosLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

The Work, Health and Safety Act requires churches to ensure, so far as is reasonably practicable, that

people are not put at risk of exposure to asbestos containing materials.

STEPS IN IDENTIFYING THE PRESENCE OF ASBESTOS

1. Identify when the building was constructed:

Asbestos was widely used as a construction and insulation material in buildings constructed before the

late-1908s. Building materials may have been stockpiled, stored and recycled and used in the construction

of buildings after the bans came into place on 31 December 2003. This means there is still a chance that

asbestos containing materials (ACM) may be in buildings constructed after the mid-1980s.

Of course, any refurbishment or extensions to an original building before the mid-1980's may have used

asbestos containing materials. Although the original parts of the building do not contain asbestos, you

should not assume that the additions do not.

2. Identify what materials were used in constructing the building:

Think about your building's main construction materials. Is it constructed from timber, brick, steel, cement

sheet or another material?

If you have cement sheeting, there is a chance it could contain asbestos fibres bonded to cement

particles. For example, roofs were often made from corrugated cement sheeting.

For example, areas of the building prone to wet conditions such as the bathrooms, toilets and laundries

may have asbestos sheeting or asbestos vinyl tiles in the walls and floors. Similarly, pipes throughout the

building that carry water and sewage may also contain asbestos.

3. Do a walkthrough inspection to find asbestos:

Conduct a thorough inspection of all buildings and structures including all rooms and spaces, ceiling

spaces, cellars, shafts, storage areas and wall cavities.

You should always assume material contains asbestos, or get it tested when:

- it cannot be identified;

- it cannot be accessed and is likely to contain asbestos;

- you otherwise cannot be sure it does not contain asbestos;

The design plans for a building, manse or structure may help in identifying inaccessible areas. Talking to

builders, architects, manufacturer of plant and maintenance employees can also help with your queries.

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Experience and findings from inspections of similar sections of the building (or similar buildings) may also

be helpful.

It is important to take notes and photos during your inspection because these can be used to produce the

asbestos register for the Church.

4. Use a competent person to identify asbestos:

Anyone inspecting for asbestos, determining risk, or recommending control measures must be competent

to do so. To be competent a person should:

- have appropriate training, knowledge and experience in identifying suspected asbestos materials and be

able to determine risk and appropriate controls;

- be familiar with building and construction practices to determine where asbestos is likely to be present;

- be able to determine that material may be friable (easily reduced to fine particles) or non-friable and

evaluate its condition.

If there is no competent person available, then you should use an external provider or a consultant.

5. Engaging an external provider or consultant:

Selecting an external provider or consultant (occupational hygienist), you should consider:

- their background, experience, specific expertise, qualifications and professional affiliations;

- references from previous work (consider asking for examples of reports prepared for other clients);

- provision of a clearance certificate;

- must be fully insured.

[ ] Please tick, if you have carried out the above inspection to identify any asbestos in the church or its

property.

This exercise is carried out in conjunction with CCVT who have implemented an asbestos register for our

churches. Please notify CCVT if you are unsure if your church is on the register .

For more information on asbestos go to www.asbestos.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Asbestos

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record May 2018

Property Coordinator

DOC: Housekeeping

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

FLOORS, AISLES, STAIRS AND LANDINGS

[ ] Are all floors, aisles, stairs & landings clean and free of slip, trip & fall hazards?

[ ] Are stairs free of worn or broken treads, and non-skid strips in good condition?

[ ] Are all handrails in good, sturdy condition?

STORAGE

[ ] Are all items being stored clear of traffic areas?

[ ] Where items are stacked for storage, are the stacks stable with a good solid base?

[ ] Are shelves and racks in good condition and not overloaded?

[ ] Is storage designed to minimise lifting problems, i.e. between knee and shoulder height?

[ ] Are storage areas clear of rubbish and unwanted material?

ELECTRICAL

[ ] Are all electrical plugs, sockets and switches in good working order?

[ ] Are all appliances free of frayed or otherwise defective leads?

[ ] Are powerboards, extension cords & double adapters in good condition and being used correctly i.e.

not being overloaded, piggybacking or used as a permanent fitting?

[ ] Are rooms adequately lit for their purpose?

KITCHENS

[ ] Do you have a written process or procedure for maintaining good hygiene in the kitchen?

[ ] Have bins and lids been cleaned and disinfected in the last 3 months?

[ ] Are microwaves, ovens and stovetops clean and free of food spills?

[ ] Are rangehoods, ducts and filters clean and operating properly?

[ ] Are benches and other surfaces clean and in good condition?

[ ] If provided, are sponges, teatowels and handtowels clean?

[ ] Are all detergents and other chemicals clearly labelled and stored out of reach of children?

[ ] Is the fridge/freezer clean, running at correct temperature and empty of old/out of date food?

[ ] Is the walk-in fridge/freezer door and bell operating properly?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Internal Housekeeping

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record May 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record June 2018

Churches of Christ

DOC: Grease Trap

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Clean grease traps

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grease Trap

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record June 2018

Property Coordinator

Exit Doors

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1.The exit door is intact.

2.The exit door is readily openable without a key, from the side facing a person seeking their way out.

3. The door is operational. Opening action should be by a single handed downward or pushing action

on a single device located between 900mm and 1200mm from the floor.

4.The door hardware is operational and functions properly.

Service Check OKProblem/ActionItem

Throughout 1

Exit Doors

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record June 2018

Property Coordinator

Paths of Travel to Exits

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1. Ensure no obstruction of any nature has encroached on or into the designated paths of travel.

2. Check that the integrity of the fire isolation relating to the paths of travel have not been breached

or compromised.

3. Check that no unauthorised alteration has been carried out on the travel sections.

Service Check OKProblem/ActionItem

Throughout 1

Paths of Travel to Exits

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record June 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

Page 47 of 82

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Inspection Record June 2018

Property Coordinator

DOC: Hazardous Substances

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

It is uncommon for churches to have significant amounts of Hazardous Substances but occasionally they

do show up via building projects, working bees, tool sheds, or the need for strong cleaning products.

Examples of substances that may be hazardous include acids, caustic substances, fumigants,

disinfectants, and solvents/thinners (turpentine, paint, glue). They may be solids, liquids or gases; they

may be pure substances or mixtures. When used, these substances often generate vapours, fumes, dusts

and mists.

These substances have the potential to harm human health. They can be inhaled, ingested, injected or

absorbed through the skin and can cause both immediate and long-term health problems, including

poisoning, irritation, chemical burns, cancer, birth defects, diseases of certain organs such as the skin,

lungs, liver, kidneys and nervous system.

The best risk management response is to properly dispose of them and eliminate the risk. If you decide to

keep these substances, please use this Inspection Record to assist you in keeping people safe.

[ ] Are they stored appropriately?

[ ] Are containers labelled correctly?

[ ] Does their area of use have adequate ventilation/exhaust systems?

[ ] Has protective clothing/equipment been provided, and is there a culture of use?

[ ] Are any personal hygiene issues addressed?

[ ] Are there waste disposal procedures in place?

[ ] Where required, are Material Safety Data Sheets available?

[ ] Are chemical handling procedures understood and followed?

[ ] Has a chemical register been developed?

[ ] Is appropriate emergency/first aid equipment provided i.e. eye bath, extinguishers?

[ ] Is Hazchem signing displayed?

For more information:

Victorian Poisons Information Centre: 24/7 Emergency Hotline 131126 or www.prov.vic.gov.au

Victorian WorkCover Authority: 1800 136 089 or www.workcover.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Hazardous Substances

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record June 2018

Treasurer

DOC: Financial

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

BANK AND CARD ACCOUNTS:

[ ] Do all church bank accounts require two signatories to operate the bank account?

[ ] Are bank statements reconciled to bank records (accounting transactions) on a monthly basis?

[ ] Do credit card holders submit acquittals (with receipts) for each card billing cycle?

[ ] Have appropriate transaction limits been set for all cards and bank accounts?

CASH HANDLING AND RECEIPTS:

[ ] Do at least two people count and record cash offerings together?

[ ] Is the record of cash offerings reconciled to bank deposit slips ?

[ ] Is cash offerings banked at the earliest opportunity after receipt ?

[ ] Is the church petty cash (if any) stored in a secure place?

PAYMENTS OR DISBURSEMENTS:

[ ] Does the church have a manual of financial authorities, listing the people authorised to approve

expenses, the types of expenses, and dollar limits by type?

[ ] Are all church expenses approved by people authorised to do so?

PAYROLL AND STAFF RECORDS:

[ ] Are payslips issued to all employees after each pay cycle?

[ ] Are up to date records for all leave categories (including Long Service Leave) kept for all employees?

[ ] Are employees provided with Annual Leave and Long Service Leave Provision ?

(Details of CCVT Ministerial Long Service Leave can be found on CCVT website )

[ ] Are all superannuation and PAYG tax payments made on-time, as required by law?

[ ] Is a process in place to pay tax exempt benefits for 'ministers of religion'?

(i.e. a debit/credit card in the name of the church used by the minister of religion)

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[ ] Does the Treasurer have a current Police Records Check? (should be completed annually)

[ ] Does the Treasurer have a valid Working With Children Check (now required if children are attending

any church ministries, regardless of whether the Treasurer is involved with children 's ministries).

FINANCIAL REPORTING:

[ ] Are regular financial reports made to the church leadership team?

[ ] Is an annual financial report prepared, audited (or verified by an independent accountant), and

presented to church members?

[ ] Does the church prepare an annual budget that is approved by the church members' meeting?

[ ] Are Business Activity Statements (BAS) lodged with the ATO by required due dates?

[ ] Have you recorded all your material value assets on a fixed asset register?

[ ] Is your church registered with the ACNC?

[ ] Have you completed the latest Annual Information Statement required by the ACNC?

For more information on the Australian Charities and Not-for-Profits Commission (ACNC) please visit their

website at www.acnc.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Financial

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record July 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record July 2018

Safety Officer

DOC: Food Safety

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Is Hygiene and Food Safety information clearly displayed in all food preparation areas?

The 'Food Safety Poster' from www.health.vic.gov.au/foodsafety reminds staff of key food

safety messages, such as the temperature danger zone, cross-contamination and cleaning.

[ ] Does the Church have a food handling policy or procedure for people to follow?

[ ] Does your kitchen have disposable gloves available for use?

[ ] Are reasonable quantities of cleaning products available for use in kitchen areas?

[ ] Are wiping cloths cleaned and rinsed after each use and changed frequently?

[ ] Have you tested your fridge to confirm it is running at the correct temperature (below 5 degrees)?

[ ] Has the Church appointed a person to be in charge of catering or Food Handling?

[ ] Is this person aware of the new food premises classification system?

[ ] Have all Sausage Sizzles, Food Stalls or other community events where food is sold, been

registered and approved by your local municipal council?

[ ] Is your kitchen compliant with current regulations?

(Call your local Council to find out the requirements in your area).

Call your local Council or go to www.health.vic.gov.au/foodsafety to find out more about the requirements

in your area.

Service Check OKProblem/ActionItem

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DOC: Food Safety

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record July 2018

Secretary

DOC: Risk Management

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

GENERAL

[ ] Have you appointed a Safety Officer/Team?

[ ] Has the Safety Officer/Team been trained for the role?

[ ] Is the WorkSafe 'If you are injured' poster on display in the office or where all workers can read it ? This

poster must be displayed in every workplace. Go to www.worksafe.vic.gov.au to download it.

[ ] Does your church provide frequent opportunities for people to address Health & Safety concerns

(including both physical AND psychological safety)?

[ ] Is Risk Management a standing agenda item for Board/Leadership Team meetings?

[ ] Are all chemicals and detergents stored appropriately and out of reach of children?

[ ] Are chemical and detergent containers labelled correctly?

[ ] Is there an up to date MSDS for each hazardous substance on the property?

[ ] Is there a clearly identified place to store Material Safety Data Sheets (MSDS)?

[ ] Is all work carried out at heights carried out by properly qualified personnel?

[ ] If hiring or operating a bus of more than 10 seats, has the church registered with Transport Safety

Victoria? (See www.transportsafety.vic.gov.au for more information)

RISK ASSESSMENTS

[ ] Are risk assessments carried out prior to major activities within the church to ensure the property and

equipment is in safe working order?

[ ] Are regular 'housekeeping' inspections made of the property to identify risks & hazards?

[ ] If the Church has 'working bees', are these adequately supervised so that people do not attempt to

perform work they are not qualified to do?

[ ] Has an independent risk assessment of buildings been completed in the last 12 months?

(Tip: swap with another local church and do a walk-through of each other's properties!)

[ ] Is a central register of known hazards maintained?

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[ ] Is there a defined procedure to report a hazard or an incident?

[ ] Is there a Hazard Report Form available? Where is this located? ________________

[ ] Are leaders aware of the Hazard Report Form and encouraged to use it?

[ ] Is there a budget allocation for risk reduction?

[ ] Are records maintained of risk reduction work?

CONTRACTOR INDUCTIONS

[ ] Does the church have a register to record work performed by external contractors?

[ ] Is there formal Contractor Induction Training available outlining the Health , Safety & Conduct required

according to the Occupational Health & Safety Act 2004?

[ ] Have all staff and contractors working on the property undertaken induction training and signed a

register indicating their acceptance of the terms and conditions in the training?

[ ] Are all inducted contractors and staff monitored re inductions as required ?

For more information on risk management as well as sample forms and online training go to

www.cofcinsurance.org.au or call 03 9488 8800.

More info available at www.worksafe.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Risk Management

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record July 2018

Secretary

DOC: Screening and Selection

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

POLICY

Does your church have a policy for recruitment of leaders that includes:

[ ] A commitment to the safety of children and vulnerable people

[ ] A minimum attendance requirement of 6 months or longer

[ ] Requirement to complete a Safe Ministry Check and other screening methods

[ ] Referee Checks

[ ] Endorsement by Senior Pastor or Board

[ ] Position Interview

[ ] Induction

[ ] Annual Ministry review

SCREENING

CCVT recommends churches screen all people who wish to be in leadership . In most cases, there will

also be a legal/insurance requirement to test a person's eligibility to serve in some ministries.

By law, all adults (paid or voluntary) working with children (under 18) must have a WWCC (or equivalent)

prior to participating in any children's ministry.

Since Oct 2014, the law has expanded to include all pastors, elders, deacons, senior leaders and ministry

coordinators at churches where children are present, regardless of whether that person is directly involved

in children's ministry.

[ ] Have all leaders and staff completed a Safe Ministry Check?

[ ] Have all leaders and staff obtained a Police Record Check in the last 12 months?

[ ] Is your Police Check Register up to date?

[ ] Do all adults who are working with children at your church have a current WWCC?

[ ] Do all pastors, elders, deacons, senior leadership teams and ministry coordinators have a WWCC?

[ ] Is your WWCC Register up to date?

[ ] Does you church have a written policy on what procedure will be followed if someone with a WWCC is

issued with an Interim Negative Notice and/or a Negative Notice?

CONDUCT AND SUPERVISION

[ ] Does your church have a Code of Conduct that all leaders are expected to adhere to?

[ ] Does your church provide supervision and support for all leaders?

[ ] Does your church have a written grievance policy for dealing with conflicts and allegations?

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TRAINING

[ ] All leaders have attended a Safe Church Awareness Workshop or recognised Child Abuse prevention

and reporting training as per the CCVT Child Safety Policy?

[ ] All leaders have done further training in their specific area of ministry in the last year?

[ ] Has your church budgeted for leadership support and development?

Please note: some roles within church ministry have specific training requirements under the CCVT Safe

Places Policy and Child Safety Policy.

For more information and resources to assist you with recruitment, supervision and leadership training

please go to www.churchesofchrist.org.au/safeplaces

Service Check OKProblem/ActionItem

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DOC: Screening and Selection

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record August 2018

Property Coordinator

DOC: Heating and Cooling

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Periodic maintenance & servicing is important for ensuring your heaters, air conditioners and evaporative

coolers are safe and running efficiently. If in doubt about how to maintain each unit, please engage a

reputable service provider to carry out a service of your units. Only use licensed and comprehensively

insured service providers.

GAS HEATERS

Professional servicing, including inspection of the flue or chimney, is recommended. Get heaters serviced

immediately if there is any sign of trouble and as recommended by the appliance manufacturer's

instructions. Manufacturers and suppliers usually have recommended service agents or you can enquire

with your gas company or check the Yellow Pages (under 'h' for heating). Make sure that they are a

licensed gasfitter endorsed for gas appliance servicing. Beyond regularly having the heater serviced by a

service agent, limited cleaning of the heater can be done by the owner to reduce odours or fumes,

including vacuuming out any duct registers as necessary (the register is the central heating duct opening

in each room which can be seen when the cover grill is lifted). Leave the cleaning of filters and fans on gas

heaters to licensed gasfitters.

ELECTRIC HEATERS

Electric heaters should be checked as part of the church's annual Testing & Tagging program. Never use

an ageing or faulty electrical appliance, appliances with frayed cords, cracked or broken plugs, or any

appliance that has given someone any kind of shock. Do not attempt to repair faulty electrical appliances

yourself - only qualified repairers or a licensed electrician can repair appliances.

AIR CONDITIONERS / EVAPORATIVE COOLERS

Refer to your user manual for cleaning instructions or service requirements. You may be able to find a

copy of the manual by searching online for the unit/model number. It is recommended that you keep a

photocopy of the cleaning instructions in your Redbook for easy reference. Below are some basic

instructions for small (domestic size) air conditioning units:

[ ] Remove filters and clean or change according to manufacturer's instructions (see user's manual)

[ ] Check plumbing and electrical connections aren't leaking or in disrepair

[ ] If broken or damaged, call a qualified tradesperson to repair, decommission or remove unit

Service Check OKProblem/ActionItem

Throughout 1

DOC: Heating and Cooling

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record August 2018

Property Coordinator

DOC: Housekeeping

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

FLOORS, AISLES, STAIRS AND LANDINGS

[ ] Are all floors, aisles, stairs & landings clean and free of slip, trip & fall hazards?

[ ] Are stairs free of worn or broken treads, and non-skid strips in good condition?

[ ] Are all handrails in good, sturdy condition?

STORAGE

[ ] Are all items being stored clear of traffic areas?

[ ] Where items are stacked for storage, are the stacks stable with a good solid base?

[ ] Are shelves and racks in good condition and not overloaded?

[ ] Is storage designed to minimise lifting problems, i.e. between knee and shoulder height?

[ ] Are storage areas clear of rubbish and unwanted material?

ELECTRICAL

[ ] Are all electrical plugs, sockets and switches in good working order?

[ ] Are all appliances free of frayed or otherwise defective leads?

[ ] Are powerboards, extension cords & double adapters in good condition and being used correctly i.e.

not being overloaded, piggybacking or used as a permanent fitting?

[ ] Are rooms adequately lit for their purpose?

KITCHENS

[ ] Do you have a written process or procedure for maintaining good hygiene in the kitchen?

[ ] Have bins and lids been cleaned and disinfected in the last 3 months?

[ ] Are microwaves, ovens and stovetops clean and free of food spills?

[ ] Are rangehoods, ducts and filters clean and operating properly?

[ ] Are benches and other surfaces clean and in good condition?

[ ] If provided, are sponges, teatowels and handtowels clean?

[ ] Are all detergents and other chemicals clearly labelled and stored out of reach of children?

[ ] Is the fridge/freezer clean, running at correct temperature and empty of old/out of date food?

[ ] Is the walk-in fridge/freezer door and bell operating properly?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Internal Housekeeping

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record August 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record August 2018

Test & Tag Team Pty Ltd

DOC: Testing & Tagging

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

WHY TEST AND TAG?

The church has a duty of care to ensure that all equipment used on its premises and as part of its

ministries/activities are safe. Churches are generally considered to be lower-risk workplaces and free of

conditions that are likely to result in damage to electrical equipment. Regular visual inspection can identify

obvious damage but regular testing and tagging can detect electrical faults and deterioration.

IS TESTING AND TAGGING REQUIRED BY LAW?

There is no legislation that states testing and tagging is compulsory in Victoria , but the OH&S regulations

state 'an employer so far as reasonably practicable must provide and maintain a working environment that

is safe and without risk to health'. WorkSafe Vic promotes testing and tagging to ensure safety , and

should there be an incident in your church, WorkSafe will default to Australian Standard best practices

which specify the testing, inspection and retest frequencies of portable electrical appliances to ensure

safety in all workplaces.

WHAT EQUIPMENT NEEDS TO BE TESTED?

Common examples of appliances that should be tested include laptops, desktop computers, monitors,

printers, copiers, fax machines, kitchen appliances, amplifiers and other electrical musical equipment,

data projectors, power tools, extension cords, power boards, audio/visual equipment, lamps, vacuum

cleaners and RCD's (Safety Switches).

WHO IS QUALIFIED TO TEST & TAG?

The checking and tagging of equipment must be done by a 'competent person' - this means someone who

has the necessary practical and theoretical skills, acquired through training, qualification, experience or a

combination of these, to correctly undertake the required tasks. The person does not need to be a

qualified electrician, but an electrician or someone who has successfully completed an approved course

would be deemed to be competent. There are many electrical contractors who specialise in testing and

tagging equipment - but always make sure they are properly qualified and fully insured.

[ ] Testing & Tagging of electrical equipment has been carried out in the last 12 months

For more information contact: www.safeworkaustralia.gov.au or www.esv.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

DOC: Testing & Tagging

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

DOC: Grounds Maintenance

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

6 MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your property, simply write Not Applicable (N/A) next to it.

[ ] Are fences and gates in good condition?

[ ] Are trees safe, especially branches?

[ ] Do shrubs need to be trimmed back or maintained?

[ ] Is lawn area even and free from hazards?

[ ] Are paths, car parks and paved areas in good condition and free from tripping hazards?

[ ] Are car parks and outdoor areas free of grease and oil patches?

[ ] Are car parks and outdoor areas kept clean and free of rubbish?

[ ] Are steps safe, especially treads and handrails, in both wet and dry weather?

[ ] Is all outdoor equipment used by the church in good repair?

[ ] Are signs securely in place without overhanging dangerous edges?

[ ] Have grease traps been cleaned and inspected?

[ ] Are paths and car parks adequately lit after dark?

[ ] Are shade sails securely fastened?

[ ] Is personal protection equipment always used by those undertaking grounds maintenance i.e. eye

wear, ear protection, gloves, aprons, face masks etc?

[ ] Do gutters require cleaning or maintenance? If yes, engage a suitably qualified and fully insured

tradesperson who has the correct equipment for working at heights.

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grounds Maintenance

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

Exit Doors

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1.The exit door is intact.

2.The exit door is readily openable without a key, from the side facing a person seeking their way out.

3. The door is operational. Opening action should be by a single handed downward or pushing action

on a single device located between 900mm and 1200mm from the floor.

4.The door hardware is operational and functions properly.

Service Check OKProblem/ActionItem

Throughout 1

Exit Doors

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

Paths of Travel to Exits

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1. Ensure no obstruction of any nature has encroached on or into the designated paths of travel.

2. Check that the integrity of the fire isolation relating to the paths of travel have not been breached

or compromised.

3. Check that no unauthorised alteration has been carried out on the travel sections.

Service Check OKProblem/ActionItem

Throughout 1

Paths of Travel to Exits

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

DOC: Ladders

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Are treads/rungs free from defects such as holes, cracks, warping, grease, paint, mud or other?

[ ] Are treads/rungs secured to the ladder so that there is no movement?

[ ] Does the ladder stand firmly and evenly?

[ ] Are rivets and other fittings in good condition without corrosion?

[ ] Is there a policy on the usage of ladders and is it communicated clearly where ladders are stored?

[ ] Are warnings displayed about inappropriate use?

Please ensure that any ladders that are not in good condition are removed from the church property so

that they cannot be used.

Service Check OKProblem/ActionItem

Throughout 1

DOC: Ladders

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

DOC: Backflow Prevention Device

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

What is backflow?

Under normal conditions water flows in one direction, from the main water system into the pipes of your

property. When the normal flow of water is reverse, that is, from the pipes on the property back into the

water system, it is referred to as backflow. Backflow can occur when there is a break in the water main

which supplies your property, water is being pumped from the main water supply during a fire, you are

using water at a higher pressure than the pressure supplied, or high demand from the main water system

reduces water pressure to your property.

What does a backflow prevention device do?

Backflow can result in a public health risk if it allows pollutants or contaminants such as chemicals to enter

the drinking water supply. A suitable backflow prevention device will allow water to enter the property

through the water meter assembly, but will prevent the water from flowing back into the reticulated water

supply network.

What is my responsibility as a property owner?

Western Water requires property owners to have a backflow prevention device that meets the

requirements of the Australian Standards for Plumbing and Drainage (AS/NZS 3500.1:2015) and Water

Supply - Mechanical Backflow Prevention Devices (AS 2845- 1986) and Western Water's Backflow

Prevention Containment Guidelines. The device must be installed, and tested annually, by a plumber who

is appropriately licensed by the Victorian Building Authority . Costs associated with the installation, testing

and maintenance of the device are the responsibility of the property owner.

For more information visit www.westernwater.com.au or call 9218 5560.

[ ] A licensed plumber has completed an annual test of the backflow prevention device

Service Check OKProblem/ActionItem

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DOC: Backflow Prevention Device

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Property Coordinator

DOC: Grease Trap

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Clean grease traps

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grease Trap

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

Safety Officer

DOC: Confined Spaces

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Does the church have ""Confined Spaces"" where works are required?

[ ] Is access to confined spaces controlled?

[ ] Is there a rescue plan in place?

[ ] Is safety equipment in good working condition?

[ ] Is training / instructions provided to people who may need to enter confined space?

[ ] Is a Confined Space permit used

Service Check OKProblem/ActionItem

Throughout 1

DOC: Confined Spaces

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record September 2018

T.G Pell Electrical Pty Ltd

LIGHTING – Emergency & Exit

Lighting

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

BCA Table I1.4

ESSENTIAL SAFETY MEASURES – LIGHTING

Emergency lighting

BCA provisions for determining standard of performance - E4.2, E4.4

Annual procedure to AS 2293.2 1995

Service Check OKProblem/ActionItem

Throughout 1

LIGHTING – Emergency & Exit Lighting

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record October 2018

Fire Equipment Services Pty Ltd

Fire Extinguishers - Portable

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

Half YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Perform the Half Yearly maintenance procedure to the AS1851.1 standard.

Service Check OKProblem/ActionItem

Throughout 1

Fire Extinguishers - Portable

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record October 2018

Fire Equipment Services Pty Ltd

Fire Hose Reels

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

Half YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Perform the Half Yearly maintenance procedure to the AS1851.2 standard.

Service Check OKProblem/ActionItem

Throughout 1

Fire Hose Reels

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record October 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record October 2018

Secretary

DOC: Staff Reviews

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Are general Staff Policies and Procedures in place and current?

[ ] Does each staff member have a current job description/position description?

[ ] Has each staff member signed a Code of Conduct?

[ ] Are regular staff reviews held and up to date for all employees?

[ ] Have Police Record Checks and WWCCs been completed?

[ ] Have all pastoral staff completed some professional development in the last 12 months?

[ ] Are pastoral staff up to date with their Code of Ethics requirements?

[ ] Are all Ministers Accredited or Endorsed with CCVT?

[ ] Have all staff attended a Safe Church Awareness Workshop?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Staff Reviews

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record November 2018

Property Coordinator

DOC: Smoke Alarm (domestic)

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

Half YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Replace battery

[ ] Test operation

[ ] Replace entire unit if faulty

Churches may wish to do monthly testing of each detector as per the Melbourne Fire Brigades

recommendation for smoke detectors in homes.

The MFB's campaign at the end of daylight saving each year reminds people to 'Change your clock,

change your smoke alarm battery'.

The MFB also recommends the following testing & cleaning schedule:

Monthly: Test by pressing the test button with a broom handle or similar

Yearly: Vacuum around your smoke alarm vents

Yearly: Replace your 9 volt battery each year at the end of daylight saving

For further information please contact the MFB Community Education Department on (03) 9665 4464 or

[email protected] or go to www.mfb.vic.gov.au

Service Check OKProblem/ActionItem

Throughout 1

Smoke Alarm (domestic)

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

Page 74 of 82

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Inspection Record November 2018

Property Coordinator

DOC: Housekeeping

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

FLOORS, AISLES, STAIRS AND LANDINGS

[ ] Are all floors, aisles, stairs & landings clean and free of slip, trip & fall hazards?

[ ] Are stairs free of worn or broken treads, and non-skid strips in good condition?

[ ] Are all handrails in good, sturdy condition?

STORAGE

[ ] Are all items being stored clear of traffic areas?

[ ] Where items are stacked for storage, are the stacks stable with a good solid base?

[ ] Are shelves and racks in good condition and not overloaded?

[ ] Is storage designed to minimise lifting problems, i.e. between knee and shoulder height?

[ ] Are storage areas clear of rubbish and unwanted material?

ELECTRICAL

[ ] Are all electrical plugs, sockets and switches in good working order?

[ ] Are all appliances free of frayed or otherwise defective leads?

[ ] Are powerboards, extension cords & double adapters in good condition and being used correctly i.e.

not being overloaded, piggybacking or used as a permanent fitting?

[ ] Are rooms adequately lit for their purpose?

KITCHENS

[ ] Do you have a written process or procedure for maintaining good hygiene in the kitchen?

[ ] Have bins and lids been cleaned and disinfected in the last 3 months?

[ ] Are microwaves, ovens and stovetops clean and free of food spills?

[ ] Are rangehoods, ducts and filters clean and operating properly?

[ ] Are benches and other surfaces clean and in good condition?

[ ] If provided, are sponges, teatowels and handtowels clean?

[ ] Are all detergents and other chemicals clearly labelled and stored out of reach of children?

[ ] Is the fridge/freezer clean, running at correct temperature and empty of old/out of date food?

[ ] Is the walk-in fridge/freezer door and bell operating properly?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Internal Housekeeping

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record November 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record November 2018

Property Coordinator

Fire Indicies for Materials

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

YearlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1 During the past 12 months no fire hazardous materials have been introduced into the building.

Service Check OKProblem/ActionItem

Throughout 1

Fire Indicies for Materials

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record December 2018

Churches of Christ

DOC: Grease Trap

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

[ ] Clean grease traps

Service Check OKProblem/ActionItem

Throughout 1

DOC: Grease Trap

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record December 2018

Property Coordinator

Exit Doors

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1.The exit door is intact.

2.The exit door is readily openable without a key, from the side facing a person seeking their way out.

3. The door is operational. Opening action should be by a single handed downward or pushing action

on a single device located between 900mm and 1200mm from the floor.

4.The door hardware is operational and functions properly.

Service Check OKProblem/ActionItem

Throughout 1

Exit Doors

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record December 2018

Property Coordinator

Paths of Travel to Exits

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

QuarterlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Check the following:

1. Ensure no obstruction of any nature has encroached on or into the designated paths of travel.

2. Check that the integrity of the fire isolation relating to the paths of travel have not been breached

or compromised.

3. Check that no unauthorised alteration has been carried out on the travel sections.

Service Check OKProblem/ActionItem

Throughout 1

Paths of Travel to Exits

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record December 2018

Property Coordinator

DOC: Playgrounds & Equipment

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

MonthlyLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

If any of these items are not relevant to your playground, simply write Not Applicable (N/A) next to it.

[ ] Is the area checked regularly for rubbish/vandalism prior to children playing?

[ ] Are there no missing or broken parts?

[ ] Are there no broken welds or missing/exposed bolts?

[ ] Are moving parts adequately lubricated?

[ ] Are there no dangerous protrusions/sharp edges?

[ ] Is there no flaking paint, flaking metal, visible rust, corrosion?

[ ] Is timber not splitting or splintering?

[ ] Are the guard rails/handrails secure?

[ ] Are the child safe gates and locks operating properly?

[ ] Are shackles/bearings/wire ropes operating smoothly?

[ ] Are ropes/nets sound & attachment points sound?

[ ] Are concrete footings covered, not exposed?

[ ] Is the under surface (softfall substance) loose and of an average 20cm cover?

[ ] Is padding in good condition?

[ ] Are shade sails securely fastened?

[ ] Is any signage still securely in place?

[ ] Are sandpits draining properly?

[ ] Have all toys and equipment stored inside been sanitised in the last three months?

Service Check OKProblem/ActionItem

Throughout 1

DOC: Playgrounds & Equipment

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

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Inspection Record December 2018

Safety Officer

Annual Essential Safety Measures

Report

ABC Church of Christ Inspected By:

Equipment:

Sample TownContact: Kylie Kendall

03 9488 8800Phone:

AnnualLevel:777 Sample Street

Instruction:

1) Check the following items listed below

2) Note any problems and/or follow up actions resulting from your inspection

3) Sign and date this Inspection Record on completion and file in the Redbook

If corrections are required please email [email protected]

Please note the following NEW PROCEDURE for signing the Annual Essential Safety Measures Report

(AESMR):

1. Locate the Annual Essential Safety Measures Report (AESMR) in Section 1 of your Redbook (it is a

separate document from this Inspection Record).

2. Check that the Inspection Records relating to all the Essential Safety Measures listed on your AESMR

have been completed for the last 12 months.

3. Sign and date the AESMR. You are authorized as the 'agent'.

4. Send a fax, scan or photocopy of the AESMR and the Maintenance Schedule (Section 4) to

[email protected].

5. File the ORIGINAL completed AESMR in your Redbook or display in foyer of building if required . The

original must remain onsite.

Please note that this Inspection Record is NOT the AESMR. Do NOT send this Inspection Record to

CCVT. The AESMR is located in Section 1 of the Redbook.

Service Check OKProblem/ActionItem

Throughout 1

Annual Essential Safety Measures Report

I certify that I have completed the above procedures as instructed.

Print Name: ...................................................................................

Signed: ......................................................................... Date: .........................

Page 82 of 82